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[Differences in myringoplasty between endoscopic and microscope].

H L Li1, Z F Zhang1, M X Xie1

  • 1Department of Otolaryngology-Head and Neck Surgery, the Second People's Hospital of Kashi, Kashi, 844000, China.

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi = Journal of Clinical Otorhinolaryngology Head and Neck Surgery
|May 26, 2018
PubMed
Summary

Endoscopic myringoplasty offers a minimally invasive approach with shorter operation times and reduced blood loss compared to microscope myringoplasty. This technique achieves similar curative effects and faster recovery, making it a valuable clinical option.

Keywords:
Otitis mediaendoscopyhearingmyringoplastytympanic membrane perforation

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Area of Science:

  • Otolaryngology
  • Surgical Techniques
  • Medical Technology

Background:

  • Myringoplasty is a surgical procedure to repair a perforated tympanic membrane.
  • Traditional myringoplasty often utilizes a microscope for visualization.
  • Minimally invasive techniques are increasingly explored to improve surgical outcomes.

Purpose of the Study:

  • To compare the clinical outcomes of endoscopic myringoplasty versus microscope myringoplasty.
  • To evaluate differences in intraoperative and postoperative parameters between the two surgical methods.

Main Methods:

  • Retrospective analysis of 70 myringoplasty cases (30 endoscopic, 40 microscopic).
  • Comparison of operation time, blood loss, dry ear time, scar hyperplasia, perforation rate, and hearing improvement.
  • Statistical analysis using SPSS 19.0.

Main Results:

  • Endoscopic myringoplasty showed significantly shorter operation times (35.23±6.38 min vs 42.60±7.97 min) and less blood loss (7.33±2.11 ml vs 17.93±3.84 ml).
  • Postoperative dry ear time was shorter in the endoscopic group (40% >1 month vs 75%).
  • Hearing improvement rates were comparable (76.67% endoscopic vs 80.00% microscopic).

Conclusions:

  • Endoscopic myringoplasty is a minimally invasive technique with comparable efficacy to microscope myringoplasty.
  • Advantages include shorter operative time, reduced blood loss, and quicker recovery.
  • Endoscopic myringoplasty demonstrates significant clinical benefits and is recommended for application.